| NPI | 1992016752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3678) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 3678) |
| Enumeration Date | 2010-06-27 |
| Last Update Date | 2016-11-08 |